| Regimental number | 31104 |
| Religion | Church of England |
| Occupation | Engineers apprentice |
| Address | 51 Rochester Street, Homebush, Sydney, New South Wales |
| Marital status | Single |
| Age at embarkation | 20 |
| Next of kin | Father, E T Rose, 51 Rochester Street, Homebush, Sydney, New South Wales |
| Previous military service | 33rd Field Company Army Engineers |
| Enlistment date | 8 October 1916 |
| Rank on enlistment | Gunner |
| Unit name | Reinforcement 12 |
| AWM Embarkation Roll number | 13/33/3 |
| Embarkation details | Unit embarked from Sydney, New South Wales, on board RMS Orontes on 19 December 1916 |
| Rank from Nominal Roll | Gunner |
| Unit from Nominal Roll | 14th Field Artillery Brigade |
| Fate | Returned to Australia 9 December 1918 |
